| NPI | 1003342551 |
|---|---|
| Former Name | KATHERINE ELIZABETH EUNJEE PRUSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704274169) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704274169) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2025-08-18 |